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Contact Information

CLAIRE THOMAS-DUCKWITZ, PH.D. LLC
2350 17TH AVENUE
UNIT 104
LONGMONT, CO80503
 Phone: 719-660-8346
 Fax: 866-757-5778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CLAIRE THOMAS-DUCKWITZ, PH.D. LLC

NPI # 1720470404
LBN Legal business name CLAIRE THOMAS-DUCKWITZ, PH.D. LLC
Authorized official CLAIRE THOMAS-DUCKWITZ - (OWNER/MBR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2015
Last updated 01/22/2021 - About 5 years ago
Identifiers
CO License # 4035
CO Medicaid 06108768
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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